Individual
ETHAN ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1825 EASTCHESTER ROAD, MONTEFIORE, WEILER HOSPITAL, BRONX, NY 10461
(718) 904-3333
Mailing address
1825 EASTCHESTER ROAD, MONTEFIORE, WEILER HOSPITAL, BRONX, NY 10461-1138
(718) 904-3333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
268067
NY
Other
Enumeration date
10/15/2011
Last updated
08/08/2014
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